Chapter 302： Winning and losing, between 1 line (2/4)
When you talk about it, you can see the building, perhaps this is a self-protection mechanism of the human body during stress.
In the operating room, after an unexpected situation, either the device is ignited or silenced.
In the live room, there is no way to drop the device, send the gas to the assistant, and the surgery is not done by yourself. As doctors eat people, their mentality is still relatively relaxed.
The surgeon has failed once again, and it cannot be said that there is a problem with the surgery of the surgeon.
Outside the operating room, in the operating room, Professor Rudolf Wagner looked at the image with both eyes.
He is hard to believe that Zheng Ren is the first TIPS operation.
Simply too skilled, if it is not because of sudden hematemesis, the third needle puncture becomes!
His talent is simply enviable, Professor Rudolf Wagner thought.
Su Yun has some regrets, but he is not surprised.
For Zheng Ren’s first time to take a TIPS operation, he has ignored the skill he has shown.
This kind of thing happened too much and has lost a sense of novelty. If he was surprised, Su Yun would be surprised if he was chin.
He is already numb, and subconsciously thinks that this is all right.
Perhaps, when others have seen themselves, they will have such helplessness in their hearts.
"Emergency surgery is like this, don't worry." Su Yun faintly comforted.
"Yeah." Zheng Ren nodded, indifferently erased the faint regret in his heart, restarted the movement, proofread the position of the guide wire, and prepared to puncture again.
Looking closely at the image, Zheng Ren found that the position of the guide wire deviated not far, and it can even be said that there is not much movement.
It is estimated that when the patient vomited, Su Yun's hand moved with the patient's movement, and there was no other explanation.
This assistant is really perfect. At least from the perspective of Zheng Ren, there is nothing wrong with it.
"0.5cm forward, 25 degrees right...23 degree angle." Zheng Ren estimated, said.
Soon, the guide wire was in place again.
In the operating room of the system, the experience gained from the surgery on the experimental body has been quenched in reality, and Zheng Ren has a feeling of sublimation.
Almost this time, although after a failure, Zheng Ren has a stronger confidence.
He did not appease the patient, let the patient try not to move.
This is not an emergency treatment room, and the patient is not crying because of the feelings.
The rupture of the fundus varices causes a large amount of venous blood to accumulate in the stomach. This biological stimulation is not artificially controlled.
It is like snoring, like a fever, not artificially controlled or changed.
Only in the intermittent period of the patient's hematemesis can be quickly operated.
A brief observation of the patient, see the patient's breathing is very weak, very fast, but there is no sign of agitation.
Zheng Ren then pulled the button of the puncture needle.
The black shadow displayed by the puncture needle on the image passes through the hepatic vein and appears in the liver branch of the portal vein.
"It is!" Su Yun suppressed the low voice.
"Stabilize." Zheng Ren is not anxious, firm and steady like a ball of ballast. In the stormy waves, let the boat reach the other side of the victory.
"Yeah." Su Yun immediately responded.
Successful puncture is only the most critical step. If there is any flash failure afterwards, it will inevitably lead to the failure of the operation and it will be repeated.
So everything must be careful, like a thin ice.
[I went... the puncture was successful the fourth time! Niubi! 】
[In fact, the third time should be successful. 】
[The surgeon once again surpassed my imagination. In my impression, we have done dozens of TIPS operations in our hospital. The operation time is more than 4 hours. It is estimated that the number of punctures should be around 20 times. 】
In the Xinglin Garden, there is a jubilant, even the doctors who failed the previous surgery to recover the surgery are relieved.
Although they are not Chinese, they have not hoped that the operation will fail.
There are not many barrage screens, although the most critical step is solved, and the rest is also very important - the retention of the stent.
There are two different perspectives on the choice of stent.
The stent without the membrane will have good stability. It is a barbed wire that becomes a barrel and is fixed by the liver parenchyma in the liver. It has a large friction and it is difficult to escape after surgery.
But the problem is that the liver's ability to regenerate is really too strong.
After a period of time, perhaps a year, or perhaps a few years, the stent may be blocked by the regenerated liver, and the channel established by the TIPS procedure is re-closed.
The stent is attached because the friction between the stent and the liver parenchyma is insufficient, although the possibility of reoccluding the passage after liver regeneration is avoided. However, a higher surgical technique is required, and the stent is fixed as much as possible.
The use of the wonderful, one heart.
In the operating room of Zheng Ren, after numerous trials and studies on various literatures, Zheng Ren chose the surgical procedure with a stent.
He is confident that the stent will remain stable in the passage of the needle.
Professor Rudolf Wagner was silent in the operating room outside the operating room.
He resolutely denied that Zheng Ren was the first to do TIPS surgery! If Zheng Ren does TIPS surgery for the first time, he can be so skilled. How can TIPS surgery be called the pearl of the crown? !
He has done too much in this technique. It is because of understanding that it will be incredible.
How many embarrassing did you have when you first studied TIPS surgery? How many times have you failed? How happy are you when you first succeed?
This scene is recalled in the heart of the professor.
Impossible, Zheng Ren is definitely not the first time to do TIPS surgery.
Even now, in the face of emergency hematemesis, it is difficult to touch the skirt of the goddess of victory in the third shot.
Moreover, after the accidental failure of the third needle, Zheng Ren’s mood did not seem to be affected, and the position of the guide wire was also unaffected.
The next fourth shot, direct success!
How difficult is it, Professor Rudolf Wagner is the most clear person.
Zheng, really has a pair of hands of God, his existence is simply for interventional surgery.
The determination to bring Zheng Ren to the research office of Heidelberg University is once again convinced by facts and more determined, like the rocks in the Alps.
Zheng Ren supported the guide wire and paid close attention to the patient's condition. At this moment, if the patient has a severe vomiting action, the guide wire is pulled out...
That is a very **** thing.
The 10mm stent was worn by Su Yun along the guide wire.
The two changed hands, and there was almost no gap in their cooperation. The proficiency and tacit understanding were a mess.
The bracket entered smoothly.
Because it is the first TIPS operation in reality, and the patient's hematemesis and irritability from time to time, the position is always deviated.
Therefore, Zheng Ren has been stepping on the line in order to observe the guide wire and the bracket in real time.
The patient immediately violently vomited again, and a thick **** taste spread in the operating room.
The action of feeding into the stent was forced to stop. Zheng Ren and Su Yun carefully held the guide wire, fearing that the guide wire slipped out a few centimeters, causing the operation to fail again.
It’s nothing to do another operation.
However, if the patient's state cannot solve the problem of portal vein and gastric fundus pressure increase quickly, it is feared that it will die due to massive bleeding.
This is a competition with the **** of death, every detail has to be perfect.
Even so, the doctor has no confidence to overcome the death. Not only do you need to be perfect, you need to be fast!
The sooner,
The better.
Finally, the patient's vomiting that lasted for half a minute eased a lot, and he finally calmed down, as if he had no extra strength to struggle.
Zheng Ren glanced at the vital signs on the monitor and suddenly shouted: "Open the call!"
On the right hand side of the operation console, Su Yun is glad that the patient has stopped vomiting and the position of the guide wire does not seem to change.
At this time, I suddenly heard the snoring of Zheng Ren, subconsciously pressing the console button on the console with a sterile membrane.
"Oh, Yi people, wearing lead clothes, come in, the patient vomits aspiration!" Zheng Ren said!
Because the interventional surgery is to withstand the radiation, so whenever possible, Zheng Ren will not let a few girls come in.
However, when the support is going down, it is awkward.
The patient had just violent vomiting, causing vomiting blood to be inhaled into the respiratory tract.
Then, the alarm sound of the monitor's madness sounded loud and arrogant.
The people outside are moving.
Director Xia directly put on the lead clothes and entered the operating room together with Xie Yi and Chu Yuran.
Zheng Ren did not break the line, he must always observe the position of the guide wire.
As for the moment when the door is opened, there is radiation overflowing into the operation room... A small amount of radiation does not have much influence on the human body.
After all, X-ray is a direct ray...
"Sucker!" Chu screamed while wearing sterile gloves.
Sudden events, unexpected situations, everyone not only moved faster, but even the sound decibels were three points larger.
Speaking is almost always useless. Everyone is afraid that their intentions will be drowned in the anxious mood of the other party and will be ignored.
Chu Haoran put his hand into the patient's mouth, first pour out the blood clots left in his mouth.
On the other side, the Shea people quickly opened the prepared suction device, and a suction tube was inserted in the corner of the patient's mouth.
“Not enough.” Director Xia said loudly: “Give me.”
She grabbed the tube from the Xie Yi people, then took a look at Zheng Ren, saying: "I have to insert the suction tube from the patient's nasal cavity, maybe there will be incitement."
"Wait a minute give me ten seconds!" Zheng Ren Shen said.
When the suction tube enters from the nasal cavity, it can induce severe irritation, causing symptoms such as coughing and retching.
For a guide wire that has just been successfully punctured, it is like a small boat, and it will be drowned at any time by the waves.
The patient's condition will not be left to Zheng Ren's next puncture time, and blood pressure is already at risk.
The successful rescue of this aspiration may mean the failure of the patient to vomit blood.
Director Xia was surprised and puzzled to see Zheng Ren.
The patient has had suffocation and he will be rescued after ten seconds.
Is he so confident that the operation is successful within ten seconds?
Win
negative
Between the lines.
In the operating room, after an unexpected situation, either the device is ignited or silenced.
In the live room, there is no way to drop the device, send the gas to the assistant, and the surgery is not done by yourself. As doctors eat people, their mentality is still relatively relaxed.
The surgeon has failed once again, and it cannot be said that there is a problem with the surgery of the surgeon.
Outside the operating room, in the operating room, Professor Rudolf Wagner looked at the image with both eyes.
He is hard to believe that Zheng Ren is the first TIPS operation.
Simply too skilled, if it is not because of sudden hematemesis, the third needle puncture becomes!
His talent is simply enviable, Professor Rudolf Wagner thought.
Su Yun has some regrets, but he is not surprised.
For Zheng Ren’s first time to take a TIPS operation, he has ignored the skill he has shown.
This kind of thing happened too much and has lost a sense of novelty. If he was surprised, Su Yun would be surprised if he was chin.
He is already numb, and subconsciously thinks that this is all right.
Perhaps, when others have seen themselves, they will have such helplessness in their hearts.
"Emergency surgery is like this, don't worry." Su Yun faintly comforted.
"Yeah." Zheng Ren nodded, indifferently erased the faint regret in his heart, restarted the movement, proofread the position of the guide wire, and prepared to puncture again.
Looking closely at the image, Zheng Ren found that the position of the guide wire deviated not far, and it can even be said that there is not much movement.
It is estimated that when the patient vomited, Su Yun's hand moved with the patient's movement, and there was no other explanation.
This assistant is really perfect. At least from the perspective of Zheng Ren, there is nothing wrong with it.
"0.5cm forward, 25 degrees right...23 degree angle." Zheng Ren estimated, said.
Soon, the guide wire was in place again.
In the operating room of the system, the experience gained from the surgery on the experimental body has been quenched in reality, and Zheng Ren has a feeling of sublimation.
Almost this time, although after a failure, Zheng Ren has a stronger confidence.
He did not appease the patient, let the patient try not to move.
This is not an emergency treatment room, and the patient is not crying because of the feelings.
The rupture of the fundus varices causes a large amount of venous blood to accumulate in the stomach. This biological stimulation is not artificially controlled.
It is like snoring, like a fever, not artificially controlled or changed.
Only in the intermittent period of the patient's hematemesis can be quickly operated.
A brief observation of the patient, see the patient's breathing is very weak, very fast, but there is no sign of agitation.
Zheng Ren then pulled the button of the puncture needle.
The black shadow displayed by the puncture needle on the image passes through the hepatic vein and appears in the liver branch of the portal vein.
"It is!" Su Yun suppressed the low voice.
"Stabilize." Zheng Ren is not anxious, firm and steady like a ball of ballast. In the stormy waves, let the boat reach the other side of the victory.
"Yeah." Su Yun immediately responded.
Successful puncture is only the most critical step. If there is any flash failure afterwards, it will inevitably lead to the failure of the operation and it will be repeated.
So everything must be careful, like a thin ice.
[I went... the puncture was successful the fourth time! Niubi! 】
[In fact, the third time should be successful. 】
[The surgeon once again surpassed my imagination. In my impression, we have done dozens of TIPS operations in our hospital. The operation time is more than 4 hours. It is estimated that the number of punctures should be around 20 times. 】
In the Xinglin Garden, there is a jubilant, even the doctors who failed the previous surgery to recover the surgery are relieved.
Although they are not Chinese, they have not hoped that the operation will fail.
There are not many barrage screens, although the most critical step is solved, and the rest is also very important - the retention of the stent.
There are two different perspectives on the choice of stent.
The stent without the membrane will have good stability. It is a barbed wire that becomes a barrel and is fixed by the liver parenchyma in the liver. It has a large friction and it is difficult to escape after surgery.
But the problem is that the liver's ability to regenerate is really too strong.
After a period of time, perhaps a year, or perhaps a few years, the stent may be blocked by the regenerated liver, and the channel established by the TIPS procedure is re-closed.
The stent is attached because the friction between the stent and the liver parenchyma is insufficient, although the possibility of reoccluding the passage after liver regeneration is avoided. However, a higher surgical technique is required, and the stent is fixed as much as possible.
The use of the wonderful, one heart.
In the operating room of Zheng Ren, after numerous trials and studies on various literatures, Zheng Ren chose the surgical procedure with a stent.
He is confident that the stent will remain stable in the passage of the needle.
Professor Rudolf Wagner was silent in the operating room outside the operating room.
He resolutely denied that Zheng Ren was the first to do TIPS surgery! If Zheng Ren does TIPS surgery for the first time, he can be so skilled. How can TIPS surgery be called the pearl of the crown? !
He has done too much in this technique. It is because of understanding that it will be incredible.
How many embarrassing did you have when you first studied TIPS surgery? How many times have you failed? How happy are you when you first succeed?
This scene is recalled in the heart of the professor.
Impossible, Zheng Ren is definitely not the first time to do TIPS surgery.
Even now, in the face of emergency hematemesis, it is difficult to touch the skirt of the goddess of victory in the third shot.
Moreover, after the accidental failure of the third needle, Zheng Ren’s mood did not seem to be affected, and the position of the guide wire was also unaffected.
The next fourth shot, direct success!
How difficult is it, Professor Rudolf Wagner is the most clear person.
Zheng, really has a pair of hands of God, his existence is simply for interventional surgery.
The determination to bring Zheng Ren to the research office of Heidelberg University is once again convinced by facts and more determined, like the rocks in the Alps.
Zheng Ren supported the guide wire and paid close attention to the patient's condition. At this moment, if the patient has a severe vomiting action, the guide wire is pulled out...
That is a very **** thing.
The 10mm stent was worn by Su Yun along the guide wire.
The two changed hands, and there was almost no gap in their cooperation. The proficiency and tacit understanding were a mess.
The bracket entered smoothly.
Because it is the first TIPS operation in reality, and the patient's hematemesis and irritability from time to time, the position is always deviated.
Therefore, Zheng Ren has been stepping on the line in order to observe the guide wire and the bracket in real time.
The patient immediately violently vomited again, and a thick **** taste spread in the operating room.
The action of feeding into the stent was forced to stop. Zheng Ren and Su Yun carefully held the guide wire, fearing that the guide wire slipped out a few centimeters, causing the operation to fail again.
It’s nothing to do another operation.
However, if the patient's state cannot solve the problem of portal vein and gastric fundus pressure increase quickly, it is feared that it will die due to massive bleeding.
This is a competition with the **** of death, every detail has to be perfect.
Even so, the doctor has no confidence to overcome the death. Not only do you need to be perfect, you need to be fast!
The sooner,
The better.
Finally, the patient's vomiting that lasted for half a minute eased a lot, and he finally calmed down, as if he had no extra strength to struggle.
Zheng Ren glanced at the vital signs on the monitor and suddenly shouted: "Open the call!"
On the right hand side of the operation console, Su Yun is glad that the patient has stopped vomiting and the position of the guide wire does not seem to change.
At this time, I suddenly heard the snoring of Zheng Ren, subconsciously pressing the console button on the console with a sterile membrane.
"Oh, Yi people, wearing lead clothes, come in, the patient vomits aspiration!" Zheng Ren said!
Because the interventional surgery is to withstand the radiation, so whenever possible, Zheng Ren will not let a few girls come in.
However, when the support is going down, it is awkward.
The patient had just violent vomiting, causing vomiting blood to be inhaled into the respiratory tract.
Then, the alarm sound of the monitor's madness sounded loud and arrogant.
The people outside are moving.
Director Xia directly put on the lead clothes and entered the operating room together with Xie Yi and Chu Yuran.
Zheng Ren did not break the line, he must always observe the position of the guide wire.
As for the moment when the door is opened, there is radiation overflowing into the operation room... A small amount of radiation does not have much influence on the human body.
After all, X-ray is a direct ray...
"Sucker!" Chu screamed while wearing sterile gloves.
Sudden events, unexpected situations, everyone not only moved faster, but even the sound decibels were three points larger.
Speaking is almost always useless. Everyone is afraid that their intentions will be drowned in the anxious mood of the other party and will be ignored.
Chu Haoran put his hand into the patient's mouth, first pour out the blood clots left in his mouth.
On the other side, the Shea people quickly opened the prepared suction device, and a suction tube was inserted in the corner of the patient's mouth.
“Not enough.” Director Xia said loudly: “Give me.”
She grabbed the tube from the Xie Yi people, then took a look at Zheng Ren, saying: "I have to insert the suction tube from the patient's nasal cavity, maybe there will be incitement."
"Wait a minute give me ten seconds!" Zheng Ren Shen said.
When the suction tube enters from the nasal cavity, it can induce severe irritation, causing symptoms such as coughing and retching.
For a guide wire that has just been successfully punctured, it is like a small boat, and it will be drowned at any time by the waves.
The patient's condition will not be left to Zheng Ren's next puncture time, and blood pressure is already at risk.
The successful rescue of this aspiration may mean the failure of the patient to vomit blood.
Director Xia was surprised and puzzled to see Zheng Ren.
The patient has had suffocation and he will be rescued after ten seconds.
Is he so confident that the operation is successful within ten seconds?
Win
negative
Between the lines.
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